RU2804249C1 - Method for lifting soft tissues of face using double modified gruzdev loop method - Google Patents

Abstract

FIELD: medicine; cosmetology.

SUBSTANCE: used for lifting the soft tissues of the face. Needles with threads are inserted into soft tissues to form a triangle by successive injections and punctures of threads at three points. The thread is injected into the region of the upper part of the mastoid process on the right and bred at an angle 85-95°. The first arm of the thread passes in a clockwise direction under the auricle through the earlobe area with access to the skin surface at the level of the external auditory canal with an indentation of 5-6 mm from the tragus, then a reverse injection is performed, the thread is turned and is lowered along the outer arc until it crosses with the sternocleidomastoid muscle and the needle is brought to the surface, then a reverse injection is performed, after which the thread is unfolded and drawn in a straight line towards the point of primary fixation and brought to the surface 2-5 mm from the point of primary fixation, then a reverse injection is performed, the thread is unfolded and passed submentally in the projection of the labio-chin fold along the upper edge of the lower jaw, then the thread is removed, cut, pulled and fixed, which forms the first triangle, then the second triangle is made 20 mm wider and closer to the ear.

EFFECT: increasing the duration of the effect, reducing pain loads, increasing the covered surface area and obtaining a more pronounced result due to more reliable fixation of the threads, an increase in the area of coverage of ptotic tissues, and a lower load on the fixation point.

5 cl, 1 dwg, 2 ex

Description

The invention relates to the field of medicine, in particular to cosmetology, namely to a method for lifting soft tissues of the face using threads.

There is a known method of suturing wounds (RU2400162, publ. 09.27.2010), which require effort to bring the edges of the wound together, with surgical suture material, including a double-edged needle with a thread with inclined figured protrusions, during which the needle is injected with any point at a certain depth into one of the edges of the wound , then the needle and thread are advanced parallel to the skin perpendicular to the edge of the wound to the required distance from the edge of the wound, then the point is directed to the surface of the skin, but not completely removed, leaving the second point at a depth and turning the needle at an angle of 90°, continue to perform a rectangular stitch, then the same performed on the other edge of the wound, after which the ends of the thread are tied together, while the number of stitches applied is determined by the need to ensure reliable fastening of the edges of the wound and the sufficiency of their convergence.

There is also a known method of cosmetic surgery to tighten facial tissue using surgical thread (RU2014129678, published on February 10, 2016), during which the free end section of the thread with a smooth surface is secured in the middle of a curved or straight double-edged short (5-7 cm long) needle, and the free end of the closing section of the thread is secured to the base of a long (12-15 cm long) needle with a blunt nose, the long needle is inserted into the temporal area of the face through a previously made incision, after which a long needle with thread is passed through the tissues of the temporal, zygomatic and buccal areas of the face , remove it in the lower part of the buccal zone through a previously made puncture and cut off the closing section of the thread with a smooth surface protruding above the skin along with a long needle, while leaving in the tissues of the temporal and zygomatic zones a section of thread with circular cone-shaped protrusions, the edges of which are directed towards the previous one section of the thread, and in the tissues of the buccal zone a section of thread with sharp protrusions-notches is left, the ends of which are directed towards the previous section of the thread, then the thread is fixed in the tissues of the temporal zone of the face by stitching these tissues with a short needle located outside the face, connected to the end section of the thread with smooth surface, after which the end section of the thread protruding beyond the skin along with the needle is cut off. This method was adopted as a prototype.

The disadvantage of the known methods is insufficient fixation of tissues, longer rehabilitation period, and reduced duration of the effect.

There is also a known method of face lifting with mesothreads (Gruzdev D.A. Face lifting with mesothreads - quick, long-term rejuvenation, Oblik magazine, Practice book-2020, No. 37, October 2020, URL: https://oblikmagazine.ru/product/practice-book- 2020/). The method is carried out as follows. From the mastoid process, the threads are implanted bifurcationally, with fixation at 90°. One arm of the thread is passed through the ligament along the upper edge of the lower jaw, the second thread is passed to the lower jaw and further along the lower edge of the lower jaw to the midline of the face in the projection of the cervical-mental region. Soft tissues are also moved - tension in the lateral direction. The ends of the thread are cut and a fixing bandage is applied for at least 3 days (preferably 14 days).

The disadvantage of the prototype is the smaller surface area covered, a lower degree of tissue reposition and weak tissue fixation due to the high load on the fixation point.

The closest to the claimed method is the method of lifting the soft tissues of the face using threads (RU2465844, published on November 10, 2012), during which the threads are fixed to the corners of a triangular fragment of a synthetic mesh, for which punctures are made at three points and a triangle is formed from the threads. Moreover, one thread is brought out through each injection point. After the required structure is formed from the threads, sutures are applied. This method is adopted as a prototype.

The disadvantage of the prototype is the relatively low strength of tissue fixation, the complexity of lifting and the long recovery period after surgery. The complexity and duration of recovery is due to the use of a triangular fragment of synthetic mesh and the need for sutures.

The technical problem is the need to develop an effective method for lifting the soft tissues of the face using threads, devoid of the above disadvantages.

The technical result consists in increasing the duration of the effect, reducing the pain load, increasing the surface area covered and, as a result, a more pronounced result.

The technical result is achieved by the fact that in the method of lifting the soft tissues of the face with the help of threads, including the introduction of needles with threads into the soft tissues, the formation of a triangle by successive injections and punctures of the threads at three points, and also including fixation of the threads, according to the invention, the patient is given threads into the area the upper part of the mastoid process on the right and spread at an angle of 85-95°, with the first arm of the thread in a clockwise direction under the auricle through the area of the earlobe and brought to the surface of the skin at the level of the external auditory canal with a distance of 5-6 mm from the tragus, then the reverse is carried out Injection, reversal of the thread and along the outer arc, the thread is lowered down to the intersection with the sternocleidomastoid muscle and the needle is brought to the surface, then a reverse injection is carried out, after which the thread is unrolled and passed straight towards the point of primary fixation in the area of the mastoid process and brought to the surface 2-5 mm from the point of primary fixation, then a reverse injection is made, the thread is unrolled and passed subdermally in the projection of the labio-mental fold along the upper edge of the lower jaw, then the thread is brought out, cut and fixed, then a second loop is made a little wider and closer to the ear, for which the second arm of the thread forms a medial loop, for which the thread from the injection point is carried out subdermally in a counterclockwise direction to the lower point of the fold formed by the first loop, then the needle is brought to the surface and the reverse injection is carried out, after which the needle is turned around and the thread is passed superficially upward in an arc to the exit point of the first loop, then the thread is brought out and a reverse injection is carried out, then the thread is unrolled and passed towards the fixation point in the mastoid area, after which the guide needle is brought to the surface, a reverse injection is carried out, the thread is unrolled and is carried out subdermally in the projection of the labio-mental fold along the lower edge of the lower jaw, after which the thread is removed, cut and fixed.

The proposed technique provides the best lifting effect and its duration due to more reliable fixation of threads and an increase in the coverage area of ptosis tissues. Less load on the fixation point helps to shorten the rehabilitation period and reduce pain during rehabilitation. Drawing triangles in different directions provides the best fixation, which leads to a reduction in the load on each of the fixation points and, accordingly, to a reduction in all possible negative effects associated with lifting. Also, within the framework of the proposed method, it is possible to use bioresorbable or non-bioresorbable threads, the choice between which is made by the doctor based on the degree of ptosis, the patient’s age and the condition of the fiber. Also, the most effective implementation option seems to be the use of C-shaped or H-shaped modifications of thread implants. An example of a thread lifting scheme using the proposed method is presented in Fig.

The inventive method is carried out as follows.

The patient is given infiltration anesthesia as the threads are placed. C-shaped or H-shaped modifications of thread implants are injected into the area of the upper part of the mastoid process on the right and spread at an angle of 85-95°, with the first arm of the thread clockwise under the auricle through the area of the earlobe and brought to the surface of the skin at the level of the external auditory passage with a distance of 5-6 mm from the tragus. Next, a reverse injection is carried out, the thread is turned around, and along the outer arc passing through the parotid zone, the thread is lowered down to the intersection with the sternocleidomastoid muscle and the needle is brought to the surface. Then a reverse injection is carried out, after which the thread is unrolled and passed in a straight line towards the point of primary fixation in the area of the mastoid process and brought to the surface 2-5 mm below the point of primary fixation. Next, a reverse injection is carried out, the thread is unrolled and passed subdermally in the projection of the labio-mental fold along the upper edge of the lower jaw, then the thread is brought out (not reaching 15 mm to the labio-mental fold), pulled, cut and fixed, which, in general, forms a formed triangle . Then the second arm of the thread is tensioned, forming a skin fold that runs vertically along the thread along the outer surface of the ear. Then the second triangle is made slightly wider (20 mm wider) and closer to the ear, for which the second arm of the thread forms a medial loop, for which the thread from the injection point is carried subdermal in a counterclockwise direction to the lower point of the fold formed by the first triangle (skin fold , running vertically along the thread along the outer surface of the ear). Next, the needle is brought to the surface and a reverse injection is made, after which the needle is unrolled and the thread is passed superficially upward along the internal arc of the loop, passing 10 mm higher in the parotid zone, to the exit point of the first loop. Then the thread is withdrawn and a reverse injection is made, after which the thread is unrolled and passed towards the fixation point in the area of the mastoid process. Afterwards, the guide needle is brought to the surface of the skin, a reverse injection is made, the thread is unrolled and passed subdermally in the projection of the labio-mental fold along the lower edge of the lower jaw, after which the thread is brought to the surface of the skin, cut and fixed. Preferably, when working on the right side of the face, the first triangle (the first arm of the thread) is drawn clockwise, and the second one counterclockwise. When working on the left side of the face, the first triangle (the first arm of the thread) is drawn counterclockwise, and the second triangle is drawn clockwise.

The claimed invention is illustrated by examples.

Example 1.

A 42-year-old patient was diagnosed with grade 2 soft tissue ptosis of the face. Based on the results of diagnostic measures, it was decided to carry out lifting using non-bioresorbable threads (C-shaped) using the proposed method within the framework of the “double modified loop” technique. As part of the procedure, using needles and threads, two triangles were formed (on each side), the injection and puncture points of which coincided. On the right side of the face, the first triangle was formed clockwise, and the second - counterclockwise, on the left side of the face - in the reverse order. The lifting procedure was successfully carried out within 35 minutes, resulting in a strong and noticeable lifting effect. The patient noted the absence of pain during the procedure and in the future. Two days later, the patient’s swelling subsided. The period of complete tissue recovery after the procedure was one and a half weeks. Six months later, as part of a follow-up examination, it was noted that the initial lifting effect was maintained and there were no side effects.

Example 2.

A 35-year-old patient was diagnosed with stage 1 soft tissue ptosis of the face. Based on the results of diagnostic measures, it was decided to carry out lifting using bioresorbable threads (H-shaped) using the proposed method within the framework of the “double modified loop” technique. As part of the procedure, two triangles were formed using needles and threads, the injection and puncture points of which coincided. On the right side of the face, the first triangle was formed clockwise, and the second - counterclockwise, on the left side of the face - in the reverse order. The lifting procedure was successfully carried out within 30 minutes, resulting in a strong and noticeable lifting effect. The patient noted the absence of pain during the procedure and in the future. After 3 days, the patient’s swelling subsided. The period of complete tissue recovery after the procedure was one and a half weeks. Six months later, as part of a follow-up examination, it was noted that the initial lifting effect was maintained and there were no side effects.

Claims (5)

1. A method of lifting the soft tissues of the face using threads, including the introduction of needles with threads into the soft tissues, the formation of a triangle by successive injections and punctures of the threads at three points, and also including the fixation of the threads, characterized in that the patient is introduced into the area of the upper part of the mastoid process on the right and spread at an angle of 85-95°, with the first arm of the thread being led in a clockwise direction under the auricle through the area of the earlobe and brought to the surface of the skin at the level of the external auditory canal with a distance of 5-6 mm from the tragus, then the reverse is carried out Injection, reversal of the thread and along the outer arc, the thread is lowered down to the intersection with the sternocleidomastoid muscle and the needle is brought to the surface, then a reverse injection is carried out, after which the thread is unrolled and passed straight towards the point of primary fixation in the area of the mastoid process and brought to the surface 2-5 mm from the point of primary fixation, then a reverse injection is made, the thread is unrolled and passed submentally in the projection of the labio-mental fold along the upper edge of the lower jaw, then the thread is brought out, cut, pulled and fixed, which forms the first triangle, after which the thread is tensioned, forming a skin fold that runs vertically along the thread along the outer surface of the ear, then a second triangle is made 20 mm wider and closer to the ear, for which the second arm of the thread forms a medial loop, for which the thread is passed submentally from the injection point in a counterclockwise direction to the bottom point of the fold formed by the first triangle, then the needle is brought to the surface and a reverse injection is carried out, after which the needle is turned around and the thread is passed superficially upward in an arc to the exit point of the first triangle, then the thread is brought out and a reverse injection is carried out, after the thread is unrolled and passed towards the fixation point in the area of the mastoid process, after which the needle-guide is brought to the surface, a reverse injection is made, the thread is unrolled and passed submentally in the projection of the labio-mental fold along the lower edge of the lower jaw, after which the thread is brought out, cut and fixed. 2. The method according to claim 1, characterized in that bioresorbable threads are used. 3. The method according to claim 1, characterized in that non-bioresorbable threads are used. 4. The method according to claim 1, characterized in that C-shaped modifications of thread implants are used. 5. The method according to claim 1, characterized in that H-shaped modifications of thread implants are used.